Via Care Community Health Center

A Medicare group practice based in Los Angeles, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 1052550365), with 48 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052550365The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
6
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
14In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20130618000414 CA Part B Supplier - Clinic/Group Practice 1497001226
O20141104000755 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497001226
O20200716001221 CA Part B Supplier - Pharmacy 1194293282
O20210331002130 CA Part A Provider - Federally Qualified Health Center (FQHC) 1356892517
O20210331002344 CA Part A Provider - Federally Qualified Health Center (FQHC) 1770034530
O20230912000327 CA Part A Provider - Federally Qualified Health Center (FQHC) 1962098640

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 48

Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (10).

Sources for this page